Utilization Review Registered Nurse Preceptor / RN

Job Title for Candidate Searching

Utilization Review Registered Nurse Preceptor / RN
Division

Emory Univ Hosp-Midtown
Campus Location

Atlanta, GA, 30308
Campus Location

US-GA-Atlanta
Department

EHM Utilization Review
Job Type

Regular Full-Time
Job Number

149212
Job Category

Nursing
Schedule

8a-4:30p
Standard Hours

40 Hours
Requisition Post Information* : External Company Name

Emory Healthcare
Campus Location (For Posting) : Postal Code

30308
Campus Location (For Posting) : Address

550 Peachtree St NE

Qualifications:

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

 

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities:

The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload.

 

• The UR RN Preceptor will be regarded as a clinical expert, leader, and role model within the Utilization Review Department as it relates to the understanding and application of the Utilization Review process in its entirety.
• The UR RN Preceptor will have expert clinical skills as well as an in depth understanding of the revenue cycle as a whole.
• The UR RN Preceptor will demonstrate foresight regarding the impact of both the clinical and administrative roles within the utilization review process based on critical thinking, intuition, and experience.
• The UR RN Preceptor facilitates efforts to support compliance and adherence to standard work, policies and procedures, clinical criteria guidelines, status designation, notification and authorization, compliance and regulatory standards, and case management systems.
• The UR RN Preceptor understands the key performance metric indicators for the department and supports the team in reaching them.
• The UR RN Preceptor remains up to date with industry standards, regulatory and compliance standards/updates, and keeps informed of best practices within the industry in an effort to incorporate innovative solutions into the Utilization Review Department.
• The UR RN Preceptor will be responsible for new hire onboarding, training, and competency completion.
• In addition, the UR RN Preceptor will be responsible for ongoing departmental education to ensure utilization review is a high performing department.
• This will consist of regular audits of each staff member which will assist with identification in knowledge gaps and/or education needs.
• The UR RN Preceptor will be responsible for developing and executing individualized training plans as needed based on audits.
• The UR RN Preceptor will assist with the development of both clinical and administrative skills by ensuring the staff have opportunities to acquire necessary knowledge, skills, and attitudes to fulfill the expectations of their roles.
  
  MINIMUM QUALIFICATIONS:
• Must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board.
• Bachelors degree in nursing required.
• Masters degree in Nursing, Education, or related field preferred.
• 3-5 years recent healthcare experience.
• 3-5 years experience in UR.
• Minimum 1 year as UR RN II or equivalent experience.
• Case Management certification preferred. 
  
  JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.